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AMBRIZ, VIRGINIA G. (2)
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AMBRIZ, VIRGINIA G. (2)
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Last modified
5/20/2024 4:24:34 PM
Creation date
12/21/2022 3:35:56 PM
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Contracts
Company Name
AMBRIZ, VIRGINIA G.
Contract #
A-2022-237-01
Agency
Public Works
Council Approval Date
12/6/2022
Destruction Year
0
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CALIFORNIA ALL- PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the identity <br />of the individual who signed the document to which this certificate is attached, <br />and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County oft Y(QL Q e <br />On 9/IoOlp&;, before me, _ <br />personally appeared '0. <br />who proved to me on the basiV of satisfactory evidence to be the person(•s) whose <br />name(e)Q/are subscribed to the within instrument and acknowledged to me that <br />they executed the same in MsQ/their authorized capacity(i®s.), and that by <br />e ttN®i+' signature(s) on the instrument the person(*, or the entity upon behalf of <br />which the person(s)acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />WITNESS my hand and qfficial seal. <br />Notary Pub is Signature (Notary Public Seal) <br />ADDITIONAL OPTIONAL INFORIVIA <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />C7kniA1T <br />(Title or description of attached document) <br />(Title or description of attached document continued) <br />of Pages, Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />❑ Corporate Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />2015Veralon www,NotaryClasses.com 800-873-9866 <br />+.•— <br />,° •„ OANIELA BORSE <br />t - Notary Public • California <br />Orange County <br />Commission X 2399876 <br />"'" My Comm. Expires Apr 6, 2026 <br />INSTRUCTIONS POT, COMPLETING TFIIS FORM <br />Ihisformconnplieshith enrrent California statutes regarding notary hording and, <br />tfneeded should he completed and attached to the doenou nt. Acbmhledgments <br />from other states way be completed for documents being seat to that state so long <br />as the hording does not reguive the CaVovnla notmy to violate California notary <br />lah. <br />• State and County information must be the State and County where the document <br />signers) personally appeared before the notary public for acknowledgment, <br />• Data of notarization must be the date that the signor(s) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />• The notary public must print his or her name as it appears within his or her <br />commission followed by a comma and then your title (notary public). <br />• Print tine names) of document signer(s) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />He/she/the}; is /ere ) or circling tho correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recordaig. <br />• The notary seal impression must be clear and photographically reproducible. <br />Impression must not cover text or lines. If seal impression smudges, re -seal if a <br />sufficient area pennits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signature on file with the office of <br />the county clerk. <br />Additional Information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />•% Indicate title or type of attached document, number of pages and date. <br />•? Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e. CEO, CFO, Secretary). <br />• Securely attach this domuncmt to the signal document with a staple. <br />
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